This is known to be a time of great anxiety and concern, and until recently was particularly badly managed. There are now accepted standards laid out in a number of recent documents. These are quite logical and include:
• Certain, clear diagnosis
• Appropriate support at diagnosis
• Access to information
• Continuing education

New diagnostic criteria have recently been developed that incorporate more fully the evidence from MRI and allow an earlier diagnosis. The process by which the diagnosis is made and communicated to the patient has been greatly enhanced by the introduction of MS nurse specialists and the establishment of diagnostic clinics, which are lead by neurologists with an interest in MS and allow relevant investigations, including MRI to be carried out on the same day. This service also incorporates links with the MS Society, the provision of written information, a telephone help-line, and continuing support and education in the form of regular classes. This model ensures that standards are met and proves to be both efficient and cost-effective. It supports the view that social support, alongside vitality and disease activity, determines the future social roles and participation of people recently diagnosed with MS.

Conclusion: The time of diagnosis is a crucial stage for people with MS. Recent improvements in the diagnostic criteria have been helpful. The way in which this critical time is managed and supported is particularly important for all those affected by the condition.